14719.14707.7.
(a) It is the intent of the Legislature to develop a performance outcome dashboard for specialty mental health services that will reduce mental health disparities, improve outcomes at the individual and system levels, and inform fiscal decisionmaking related to the purchase of services. build upon performance outcomes system reports the department has developed pursuant to Section 14707.5 and the
Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver, as approved pursuant to Section 1915(b) of the federal Social Security Act (42 U.S.C. Sec. 1396n(b)), in order to provide data to inform strategies to reduce mental health disparities.(b)Consistent with the Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver, as approved pursuant to Section 1915(b) of the Social Security Act (42 U.S.C. Sec. 1396n(b)), the State Department of Health Care Services, in collaboration with the California Health and Human Services Agency, shall create a performance outcome dashboard for specialty mental
health services provided to eligible Medi-Cal beneficiaries.
(1)
(b) (1) Commencing no later than January 15, 2018, and quarterly as needed thereafter, the department shall convene a stakeholder advisory committee comprised of representatives of
consult with stakeholders, including, but not limited to, subject-matter experts who represent providers, consumer advocates, consumers, family members, counties, and the Legislature. This consultation shall inform the creation of the performance outcome dashboard for specialty mental health services. Legislature, to inform the updates to the performance outcomes reports for specialty mental health that the department developed pursuant to Section 14707.5 and the Special Terms and Conditions of the Medi-Cal Specialty Mental Health Services Waiver. The stakeholder consultation shall continuously inform the development of performance outcome and disparities reduction measures.
(2) In developing the performance outcome dashboard building upon the performance outcomes reports for specialty mental health services, the department shall also consider both of the following objectives, among others:
(A) High-quality, trauma-informed, culturally and linguistically competent, and accessible specialty
mental health services for all eligible beneficiaries, consistent with federal law.
(B)Information that improves practice at the individual, program, and system levels.
(C)Minimization of costs by building upon existing resources to the fullest extent possible.
(D)Reliable data that are collected and analyzed in a timely fashion.
(E)Elimination or reduction of mental health disparities and strategies for addressing the
social determinants of mental health.
(B) Strategies to reduce mental health disparities.
(3) The performance outcome dashboard outcomes reports for specialty mental health services shall also consider evidence-based models for performance outcome systems, federal requirements, including the Special Terms and Conditions of the Medi-Cal
Specialty Mental Health Services Waiver, as approved pursuant to Section 1915(b) of the federal Social Security Act (42 U.S.C. Sec. 1396n(b)), the review by the External Quality Review Organization (EQRO), (42 U.S.C. Sec. 1396n(b)) and the Medicaid Managed Care Quality Rating System, and timelines for implementation at the provider, county, and state levels. System.
(4) At In
order to identify mental health disparities, at a minimum, the performance outcome dashboard outcomes reports for specialty mental health services shall include be produced using existing data collected by the state, stratified by both the statewide and plan-specific data county levels in
the following areas:
(A)Mental health disparities.
(B)Measurement of
(A) Access, such as timely access to services, including waiting time to assessment and waiting time to first appointment.
(C)
(B) Language capacity and language access.
(D)Quality indicators, including beneficiary experience and clinical outcomes.
(E)Utilization and penetration rates, including, at a minimum, reporting the subcomponents of services utilized by assessments, contacts, and therapy or other services provided.
(C) Quality.
(D) Utilization and penetration.
(5) (A) Data required pursuant to paragraph (4) shall be disaggregated stratified by age, sex, gender identity, race, ethnicity, primary language, sexual orientation, ZIP Code, and any other factors
data elements for which there is peer-reviewed evidence of to assess performance outcomes related to mental health disparities.
(B) The department shall not report any demographic data under paragraph (4) or this paragraph that would permit identification of individuals.
(6) (A) The department shall provide the performance outcome dashboard publish the performance outcomes reports based on available data
for specialty mental health services described in this section to all fiscal committees and appropriate policy
committees of the Legislature no later than on the department’s Internet Web site by December 31, 2018. The department shall also provide the performance outcomes reports to the Legislature by December 31, 2018.
(B) Commencing January 1, 2019, and annually thereafter, the department shall provide quarterly updates to update the performance outcome dashboard
outcomes reports for specialty mental health and shall post the updated report reports on the department’s Internet Web site.
(7) Commencing January 1, 2019, the department shall consult with the stakeholder advisory committee consult, as needed, with the stakeholders specified in paragraph (1) to do both of the following:
(A) Incorporate additional components into the performance outcome dashboard,
outcomes reports, including, but not limited to, components concerning the reduction of mental health disparities, such as timely access to services, language access, and quality and utilization measures, relating to mental health services obtained through Medi-Cal managed care plans.
(B) Make recommendations for statewide quality improvement and efforts to reduce mental health disparities based on information reported in the performance outcome dashboard. outcomes reports.
(8) Upon completion of the activities specified in paragraph (7), the department shall consult with stakeholders on an as-needed basis.
(8)
(9) Notwithstanding Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code, the department may implement, interpret, or make specific this subdivision by means of all-county letters, plan letters, plan or
provider bulletins, or similar instructions, without taking regulatory action.